NOMINATION PAPER FOR PARTISAN OFFICEI, the undersigned, request the name of

JAMES BOLEN

who resides at 14580 Resort Road, Cable, Wisconsin 54821, in the Town of Cable be placed on the ballot at the general election to be held on November 3, 2020 as a candidate representing the Republican Party so that voters will have the opportunity to vote for him for the office of Representative to the Assembly in Wisconsin’s 74th Assembly District. I am eligible to vote in the jurisdiction or district in which the candidate named above seeks office. I have not signed the nomination paper of any other candidate for the same office at this election.

The municipality used for mailing purposes, when different than municipality of resident, is not sufficient. The name of the municipality of residence must always be listed.

Signatures of Electors Printed Name of Electors Residential Address (No P.O. Box Addresses)Street & Number or Rural Route(Rural address must also include box or fire no)

Municipality of Residence Date of SigningCheck the type and write the name of your municipality for voting purposes

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CERTIFICATION OF CIRCULATORI, ______________________________________________________________, certify: I reside at _________________________________________________________________________.

(Name of circulator) (Circulator’s residential address - Include number, street and municipality)I further certify I am either a qualified elector of Wisconsin, or a U.S. citizen, age 18 or older who, if I were a resident of this state, would not be disqualified from voting under Wis. Stat. § 6.03. I personally circulated this nomination paper and personally obtained each of the signatures on this paper. I know that the signers are electors of the jurisdiction or district the candidate seeks to represent. I know that each person signed the paper with full knowledge of its content on the date indicated opposite his or her name. I know their respective residence given. I intend to support this candidate. I am aware that falsifying this certification is punishable under Wis. Stat. § 12.13(3)(a).

Page No.___________________________________

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(Signature of circulator)

74th Assembly District Municipalities

Instructions for Circulating Nomination Papers for James Bolen

• Anyeligiblevoterwhoisadistrictresidentandage18oroldermaysignthenominationpaper.

• Donotleavethenominationpaperunattended,forexample,onacounterorbulletinboard.

• Pleasemakesuresignersincludethemunicipalityinwhichtheyliveaswellastheirmailingaddress.

• Signersmaynotsignthenominationpaperofmorethanonecan-didateforAssembly.

• Whenyouarefinishedcirculatingthepaper,youmustsignthecertificationatthebottomofthepaper.

• PleasereturnthenominationpapertoJames at 14580 Resort Road, Cable, Wisconsin 54821 nolaterthanMonday,May18th.

• Thankyouforyoursupport!

Ashland County• TownofAgenda• TownofAshland• TownofChippewa• TownofGingles• TownofGordon• TownofJacobs• TownofLaPointe• TownofMarengo• TownofMorse• TownofPeeksville• TownofSanborn• TownofShanagolden• TownofWhiteRiver• VillageofButternut• CityofAshland• CityofMellen

Bayfield County• TownofBarksdale• TownofBarnes• TownofBayfield• TownofBayview• TownofBell• TownofCable• TownofClover• TownofDelta• TownofDrummond• TownofEileen• TownofGrandView• TownofHughes• TownofIronRiver• TownofKelly

• TownofKeystone• TownofLincoln• TownofMason• TownofNamakagon• TownofOrienta• TownofOulu• TownPilsen• TownofPortWing• TownofRussell• TownTripp• TownofWashburn• VillageofMason• CityofAshland• CityofBayfield• CityofWashburn

Douglas County• TownofBrule• TownofCloverland• TownofHighland

Iron County• TownofAnderson• TownofCarey• TownofGurney• TownofKimball• TownofKnight• TownofMercer• TownofOma• TownofPence• TownofSaxon• TownofSherman• CityofHurley• CityofMontreal

Price County• TownofCatawba• TownofEisenstein• TownofElk• TownofEmery• TownofFifield• TownofFlambeau• TownofGeorgetown• TownofHackett• TownofHarmony• TownofHill• TownofKennan• TownofKnox• TownofLake• TownofOgema• TownofPrentice• TownofSpirit• TownofWorcester• VillageofCatawba• VillageofKennan• VillageofPrentice• CityofParkFalls• CityofPhillips

Sawyer County• TownofLenroot• TownofSpiderLake

Vilas County• TownofLacduFlam-

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